a Department of Cardiology , Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine , Shanghai , China.
b Department of Gastroenterology , Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine , Shanghai , China.
Pharm Biol. 2019 Dec;57(1):13-20. doi: 10.1080/13880209.2018.1561726.
Huoxin formula is a Traditional Chinese Medicine for coronary heart disease (CHD) treatment. To explore the therapeutic mechanism of the Huoxin formula on arterial functions in CHD patients. Fifty-eight CHD patients receiving cardiovascular drugs including β-receptor blocker, statins, and antiplatelet medications or others were randomized into intervention [additionally 13.5 g Huoxin formula granules dissolved in 150 mL warm water per time, twice a day ( = 30)] and control [only cardiovascular drugs ( = 28)] groups. Serum biomarkers (hs-CRP, IL-18, IL-17, TNF-α, MMP-9), and cardiovascular indicators of the common and internal carotid arteries (ICAs) were monitored before and after the treatments. After 3 months of treatment, the increases of intima-media thicknesses (IMT) of the left and right common carotid arteries (CCAs) as well as of the left and right ICAs and the increases of the left and right cardio-ankle vascular index were all significantly (all < 0.001) less in the intervention than in control group (all < 0.001). Serum concentrations reductions of hs-CRP, IL-18, IL-17 and MMP9 (all < 0.001) levels were higher in the intervention compared to the control group, which correlated with the changes of left ICA (hs-CRP: = 0.581, = 0.009; IL-18: = 0.594, = 0.007; IL-17: = 0.575, 0.006). Since the Huoxin formula improved arterial functions and reduced inflammatory factor activities in CHD patients, a large-scale clinical trial is warranted.
活心方是一种治疗冠心病的中药。为了探讨活心方对冠心病患者动脉功能的治疗机制,将 58 例冠心病患者随机分为干预组(加用 13.5g 活心方颗粒溶解于 150ml 温水中,每日 2 次)和对照组(仅用心血管药物)。治疗前后监测血清生物标志物(hs-CRP、IL-18、IL-17、TNF-α、MMP-9)和颈总动脉、颈内动脉的心血管指标。治疗 3 个月后,干预组左、右颈总动脉内膜中层厚度(IMT)及左、右颈内动脉 IMT 增加,左、右心踝血管指数增加均明显低于对照组(均<0.001)。与对照组相比,干预组 hs-CRP、IL-18、IL-17 和 MMP9 血清浓度降低(均<0.001),与左颈内动脉变化相关(hs-CRP: = 0.581, = 0.009;IL-18: = 0.594, = 0.007;IL-17: = 0.575, 0.006)。由于活心方改善了冠心病患者的动脉功能,降低了炎症因子的活性,因此需要进行大规模的临床试验。